NPIMap

Organization Active NPI

Discovery & Recovery Clinic,Inc.

  • Clinical Social Worker
  • Greenfield, WI
National Provider Identifier
1609992098
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1279 Issued in WI
Legal business name
DISCOVERY & RECOVERY CLINIC,INC.
Practice address
4402 S 68TH St
Suite 100
Greenfield, WI 53220-3479
Phone
(414) 321-4411
Fax
(414) 321-0552
NPI assigned
Mar 21, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Wade Thomas Koski, LCSWNPI 1235201914
Title
Owner
Phone
(414) 321-4411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1279 WI
Clinical Social Worker 1041C0700X 1279 WI Primary

Addresses

Primary practice location

4402 S 68TH St
Suite 100
Greenfield, WI 53220-3479

Mailing address

4402 S 68TH St
Suite 100
Greenfield, WI 53220-3479
Phone (414) 321-4411

Other identifiers 1

IdentifierTypeStateIssuer
42153700MedicaidWI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1609992098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 S 68TH ST",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203479",
            "telephone_number": "414-321-4411",
            "fax_number": "414-321-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 S 68TH ST",
            "address_2": "SUITE 100",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532203479",
            "telephone_number": "414-321-4411",
            "fax_number": "414-321-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISCOVERY & RECOVERY CLINIC,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KOSKI",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-321-4411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "1279",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "1279",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42153700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.